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1629078811
THOMAS R. GANNON
DALLAS, TX
NPI
1629078811
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA04227)
Enumeration Date
2005-07-28
Last Update Date
2007-07-08
Business Address
-- THOMAS R. GANNON PA-C
5201 HARRY HINES BLVD MEDICAL STAFF SERVICES
DALLAS, TX 75235-7708
Phone number: 214-590-8006
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Mailing Address
-- THOMAS R. GANNON PA-C
PO BOX 660599
DALLAS, TX 75266-0599
Phone number: 214-590-4105
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